Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
74034
Service:
DTV
Call Sign:
WSKG-TV
Channel:
31 (UHF)
File Number:
0000028440
FRN:
0003775830
Date Submitted:
10/08/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WSKG PUBLIC TELECOMMUNICATIONS COUNCIL

Doing Business As: WSKG PUBLIC TELECOMMUNICATIONS COUNCIL

Greg Catlin

601 GATES ROAD, SUITE 4

VESTAL, NY 13850

United States

+1 (607) 729-0100 gcatlin@wskg.org Not-for-Profit

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Replace combiner with switch and dummy load. Replace analog transmitter/cooling system with new channel transmitter/cooling system. Test. Switch to new transmitter when appropriate. Decommission and remove old channel transmitter.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Ultimate
Year 2003
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 4 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model MPTV-PRLX-U4
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 6.5 kW
Justification for New Transmitter Change from GatesAir to Comark. Parallax 6.5kW is the equivalent model to the 6kW GatesAir previously approved.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring Yes
Size 2 inches
Length 40.0 feet
Other Electrical Service Yes
Description 480v switchgear
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Retune Existing
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 50.0 kW
Manufacturer Dielectric
Model 888-24
Year 2003

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 50.0 kW
Manufacturer
Model 888-24
Year 2003

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Top
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 40.2 kW
Manufacturer
Model TFU-19JTH/VP-R O4
Year 2019
Justification for New Antenna Current antenna operates on Ch. 42 and is unable to be retuned. Licensee will bear the cost to upgrade from H to E-pol.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 6 1/8 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Mounting Adapter

ANTENNA MOUNTING ADAPTER 1 FT TALL, ALLOWS NEW ANTENNA TO MOUNT ONTO EXISTING 888 ANTENNA TOP PLATE HOLE PATTERN

Antenna Feed Thru Complex

INCLUDES REQUIRED 6-75 ELBOWS AND COMPONENTS TO EXTEND ANTENNA INPUT THROUGH EXISTING STUB TOWER AND SUPPORT POLE.

Est. Antenna Shipping

SHIPPING & HANDLING

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 40.2 kW
Manufacturer
Model TFU-8WB
Year 2019
Justification for New Antenna Interim antenna for repack channel while main top mount antenna is replaced.

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? S
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? No

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 951 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Tune existing Transmission line

Existing line is Dielectric DigiTline and elbows along the run are tuned for optimal performance on utilized frequencies. During transition, we will tune these to optimize.

Replace Combiner with Transfer Switch

Replaces analog combiner with switch between current channel transmitter and new channel transmitter.

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 951 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 951 feet per run
Justification for New Transmission Line Current line was swept and found to be unacceptable for use on Ch. 31. New line is needed.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Flexible Air
Diameter 3 inches
Segment Length N/A
Other Segment Length
Number of parallel runs 1
Length 840 feet per run
Justification for New Transmission Line For ch. 31 operation on post repack channel while current main line is removed and replaced.

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep

Sweep of line post-install

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users No
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1236974
Coordinates (NAD83) Latitude (NAD83) 42° 03' 40.2" N-
Longitude (NAD83) 075° 56' 44.2" W-
Overall Structure Height 946.84 feet
Support Structure Height 799.86 feet
Ground Elevation Above Mean Sea Level (AMSL) 1709.95 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner T & K Communications Systems, Inc.
Date Constructed 07/31/2003

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
19624 WMXW FM
72373 WHWK FM
74039 WSKG-FM FM

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Weather delays

Tower rigging delay for 5 workers

Removal of Interim Facility

Removal of interim antenna and line once transition is made to final top mount antenna.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 180
Explanation Outside consultant has 5 years experience at this facility and 38 years maintaining transmission systems and managing related projects. Staff is limited and contains new staff in key positions.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 2
Justification Proof of performance, retune Dielectric DigitLine

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Additional Legal Fees

Addition legal fees for advice and consultation for small market public TV station

NETA Financial Management

Support provided to facilitate reimbursement. NETA is currently handling WSKG-TV and WSKA's accounting and bookkeeping services. This is an additional service.

Internal engineering labor

Unable to hire consultant to handle all aspects of repack engineering.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? Yes
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Removal-disposal of Analog TX and associated items

Analog transmitter and associated items physically block proper positioning of new transmitter in proximity of electrical service. Removal of the transmitter will allow for proper placement of the new transmitter and electrical reuse.

Site Survey

Site survey by transmitter manufacturer to predetermine precise measurements and ensure a smooth installation.

Additional Legal Expenses

Legal fees to consult with and advise small market public TV station with repack matters.

8VSB Analyzer Calibration

Tune-up and calibration of existing Tektronix analyzer.

Quarterly Progress Reports

FCC- required quarterly progress reports

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $280,390.00 $271,685.00 N/A $271,101.53 N/A
Total for all systems $2,282,854.00 $2,070,559.57 N/A $1,761,954.70 N/A
Primary Transmitter MPTV-PRLX-U4 $280,390.00 $271,685.00 $271,101.53
Other Electrical Service: 480v switchgear $5,850.00 $5,850.00 Current estimate based on transformer and switchgear needed for GatesAir transmitter (attached quote from Panko). Expect this cost to reduce, although conduit size may increase, once we have a site survey for the transmitter and electrical installation. $5,563.03 N/A
2" Rigid Conduit and Wiring (Cost per foot) $1,040.00 $1,000.00 Predetermined cost based on 2" rigid at 40'. $703.50 N/A
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW $273,500.00 $264,835.00 Quotation from Hitachi Kokusai Electric Comark labeled P2983A-R4, all of section 1 (257400) and section 2 items 2.1 (4835) and 2.2 (2600) - 257400+4835+2600=264835 $264,835.00 N/A

Components

Actual Information Description File Name
Other Electrical Service: 480v switchgear

Component Description:
Lines 1-16 of attached invoice. Labor and parts for install of rigid conduit and other transmitter installation work.
Amount:
$5,563.03
2" Rigid Conduit and Wiring (Cost per foot)

Component Description:
Lines 17 and 18 of invoice representing rigid conduit portion of bill.
Amount:
$703.50
UHF - Liquid Cooled Solid State Transmitter 4.9 . 6.5 kW

Component Description:
Deposit required for WSKG transmitter, lines 1,2 and 3 of attached invoice.
Amount:
$132,417.50

Component Description:
Lines 1, 2 and 3 of this invoice. Represents 45% of balance required before shipment.
Amount:
$119,175.75

Component Description:
Final payment for transmitter. Lines 1,2, and 3 of attached invoice.
Amount:
$13,241.75

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $451,247.00 $310,667.00 N/A $262,099.74 N/A
Total for all systems $2,282,854.00 $2,070,559.57 N/A $1,761,954.70 N/A
Interim Antenna TFU-8WB $91,132.00 $85,552.00 $50,773.25
UHF - High Power, Side Mount, basic slot antenna, 40 kW input, directional,, horizontally polarized $50,422.00 $50,422.00 See attached Quote_900146CMZ-1 WSKG INTERIM-AUX.pdf. Cost includes antenna plus estimated shipping charge $50,773.25 Quoted amount was estimated and was said to be billed based on actual. Was higher due to covid related delays.
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $22,550.00 N/A N/A N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $7,580.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Primary Antenna 888-24 $0.00 $0.00 $0.00
Primary Antenna TFU-19JTH/VP-R O4 $360,115.00 $225,115.00 $211,326.49
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,710.00 N/A $10,710.00 N/A
Mounting Adapter $21,520.00 $21,520.00 ALLOWS NEW ANTENNA TO MOUNT ONTO EXISTING 888 ANTENNA TOP PLATE HOLE PATTERN. See attached quote 900171CMZ-1 $21,520.00 N/A
Est. Antenna Shipping $11,000.00 $11,000.00 See attached quote 900171CMZ-1 as adjusted for actual costs. $10,011.49 Shipping was over due to quoted estimate not accounting for weather and COVID related delays. Also parts that were tbd on quote had to be ordered from site and expedited.
Antenna Feed Thru Complex $19,065.00 $19,065.00 INCLUDES REQUIRED 6-75 ELBOWS AND COMPONENTS TO EXTEND ANTENNA INPUT THROUGH EXISTING STUB TOWER AND SUPPORT POLE. See attached quote 900171CMZ-1 $19,065.00 N/A
Sweep test of existing antenna $6,730.00 $19,200.00 Reflects the cost of 3 line sweeps. 6400 x 3 1 - Initial sweep to determine antenna status 2 - Sweep to attempt to tune antenna to ch 31 3 - Sweep of final replacement since current antenna failed retune. $6,400.00 N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $143,620.00 N/A $143,620.00 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 40 kW input, directional,, horizontally polarized

Component Description:
Final 50% due for broadband side mount antenna.
Amount:
$23,211.00

Component Description:
This invoice is for freight of line item 10 of quote. Estimate of total freight for all items shown on line 26 of quote.
Amount:
$2,351.25

Component Description:
50% required payment for Line 1 interim antenna($23211) and Line 22 freight ($2000).
Amount:
$25,211.00
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Final 10% of line 5 of attached quote for elbow complex.
Amount:
$1,071.00

Component Description:
Final 10% of line 2 of the attached invoice for elbow complex.
Amount:
$1,071.00

Component Description:
Line 5 of attached invoice. 45% deposit required before shipping for Elbow complex for WSKG.
Amount:
$4,819.50

Component Description:
45% deposit required for elbow complex. Line 5 of the attached invoice.
Amount:
$4,819.50
Mounting Adapter

Component Description:
Final 10% of line 3 of attached quote.
Amount:
$2,152.00

Component Description:
45% deposit due with order. Line 3 of attached invoice for antenna mounting adapter.
Amount:
$9,684.00

Component Description:
Final 10% of line 3 of attached invoice for antenna mounting adapter.
Amount:
$2,152.00

Component Description:
45% deposit required for shipping. Line 3 of attached invoice for antenna mounting adapter.
Amount:
$9,684.00
Est. Antenna Shipping

Component Description:
Partial balance of shipping which was to be adjusted to actual.
Amount:
$1,067.75

Component Description:
Shipping cost net of first two installment payments which were 90% of estimated costs. Cost were higher due to storage required for Covid and weather delays.
Amount:
$4,228.00

Component Description:
Additional shipping as required for installation.
Amount:
$215.74

Component Description:
Line 26 of attached invoice for 45% deposit with order for shipping.
Amount:
$2,250.00

Component Description:
Line 26 of attached invoice for 45% deposit required prior to shipping.
Amount:
$2,250.00
Antenna Feed Thru Complex

Component Description:
Final 10% of line 3 of attached quote. Application of prior payments explained on cover.
Amount:
$1,906.50

Component Description:
LIne 4 of the attached invoice. 45% deposit required before shipping for antenna feed through complex
Amount:
$8,579.25

Component Description:
Line 4 of attached invoice. 45% deposit required with order for Antenna feed through complex.
Amount:
$8,579.25

Component Description:
Final 10% of line 1 of the attached invoice for antenna feed through complex.
Amount:
$1,906.50
Sweep test of existing antenna

Component Description:
Final 10% of line 25 for repack sweep.
Amount:
$640.00

Component Description:
45% deposit for one sweep for transmission line install. Line 25 of attached invoice.
Amount:
$2,880.00

Component Description:
Line 25 of attached invoice. 45% deposit required with order for one repack sweep.
Amount:
$2,880.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized

Component Description:
Final 10% of line 1 of attached quote for antenna. Application of payments explained on cover.
Amount:
$14,362.00

Component Description:
45% deposit required for primary antenna and related equipment and shipping. Lines 1 of attached invoice
Amount:
$64,629.00

Component Description:
Final 10% of line line 1 of the attached invoice for UHF-high power top mount antenna.
Amount:
$14,362.00

Component Description:
LIne 1 of attached invoice. 45% deposit required with order for UHF -High Power antenna.
Amount:
$64,629.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $275,352.00 $221,502.57 N/A $231,395.07 N/A
Total for all systems $2,282,854.00 $2,070,559.57 N/A $1,761,954.70 N/A
Interim Transmission Line $55,960.00 $44,778.82 $44,778.82
Sweep $6,400.00 $6,400.00 See attached Quote_900146CMZ-1 WSKG INTERIM-AUX.pdf $6,400.00 N/A
Flexible Air Transmission Line - dielectric, 3" $49,560.00 $38,378.82 See attached Quote_900146CMZ-1 WSKG INTERIM-AUX.pdf $38,378.82 N/A
Primary Transmission Line $27,290.00 $27,290.00 $27,290.00
Replace Combiner with Transfer Switch $27,290.00 $27,290.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Quotation from Comark labeled P9283A-R4, items 2.3 through 2.6 (3500+4625+5725+13440=27290) $27,290.00 N/A
Primary Transmission Line $192,102.00 $149,433.75 $159,326.25
Rigid Transmission Line - copper, 6 1/8" $192,102.00 $149,433.75 See attached quote 900171CMZ-1 $159,326.25 Actual cost of transmission line was higher due to special cut pieces that were TBD and could not be cut or priced until riggers were assembling the line.

Components

Actual Information Description File Name
Sweep

Component Description:
Final 50% of line 1 of the attached invoice for repack sweep.
Amount:
$3,200.00

Component Description:
Line 21 of attached invoice which represents 50% deposit required for repack sweep.
Amount:
$3,200.00
Flexible Air Transmission Line - dielectric, 3"

Component Description:
Final 50% of line 2 of the attached invoice for flexible transmission line. Application explained on cover.
Amount:
$19,189.41

Component Description:
Line 2 of attached invoice which represents 50% deposit required for interim transmission line.
Amount:
$19,189.41
Replace Combiner with Transfer Switch

Component Description:
Lines 4-7 of attached invoiced. Represents 5% post-delivery payment required for coax switch and related expenses.
Amount:
$1,364.50

Component Description:
Lines 4-7 of attached invoiced. Represents 45% pre-delivery payment required for coax switch and related expenses.
Amount:
$12,280.50

Component Description:
One half deposit for combiner replacement. Lines 4-7 of attached invoice.
Amount:
$13,645.00
Rigid Transmission Line - copper, 6 1/8"

Component Description:
Charge for 4 pieces of rigid transmission line that were tbd based on line 6 of attached quote.
Amount:
$9,820.00

Component Description:
Final 10% of line 6 of attached quote. Application of prior payments explained on cover.
Amount:
$13,715.87

Component Description:
Special cut piece of transmission line listed on line one of the attached invoice. Included in line 10 of the attached quote.
Amount:
$1,300.00

Component Description:
45% due with order for rigin transmission line. Lines 6 and 10 of attached invoice are lumped together on line 6 of quote.
Amount:
$67,245.19

Component Description:
Final 10% of line 1 of the attached invoice for rigid transmission line.
Amount:
$13,715.87

Component Description:
45% deposit required primary to shipment for primary transmission line. Lines 6 and 10 of attached invoice are lumped together on line 6 of quote.
Amount:
$67,245.19

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $919,975.00 $885,875.00 N/A $873,875.00 N/A
Total for all systems $2,282,854.00 $2,070,559.57 N/A $1,761,954.70 N/A
Primary Tower TOWER $919,975.00 $885,875.00 $873,875.00
Tower Helicopter Lift $295,000.00 $295,000.00 See attached quote 20-0146-R2 Proposal _WSKG-TV Antenna & TL Modifications-Binghamton NY TJF 3-19-20.pdf $295,000.00 N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A
Minor tower reinforcement/modifications $158,000.00 $190,000.00 See attached quote 20-0146-R2 Proposal _WSKG-TV Antenna & TL Modifications-Binghamton NY TJF 3-19-20.pdf $190,000.00 N/A
Tall Tower (greater than 500') $210,500.00 $145,000.00 See attached quote 20-0146-R2 Proposal _WSKG-TV Antenna & TL Modifications-Binghamton NY TJF 3-19-20.pdf $145,000.00 N/A
Removal of Interim Facility $240,000.00 $240,000.00 See attached quote 20-0146-R2 Proposal _WSKG-TV Antenna & TL Modifications-Binghamton NY TJF 3-19-20.pdf $240,000.00 N/A
Weather delays $3,875.00 $3,875.00 Cost incurred due to weather delays. $3,875.00 N/A

Components

Actual Information Description File Name
Tower Helicopter Lift

Component Description:
25% payment after t/l removed and installed Phase II for tower helicopter lift.
Amount:
$73,750.00

Component Description:
Line 4 of attached invoice. Represents 20% payment prior to mobilization.
Amount:
$59,000.00

Component Description:
Line 4 of attached invoice for helicopter lift. 10% after completion of Phase 1.
Amount:
$29,500.00

Component Description:
Line 4 of the attached invoice representing 15% due one week before scheduled helicopter date.
Amount:
$44,250.00

Component Description:
5% payment upon completion for tower helicopter lift.
Amount:
$14,750.00

Component Description:
Line 4 of attached invoice which represents 25% deposit for helicopter lift for antenna.
Amount:
$73,750.00
Structural engineering tower load study for well documented tower Information not provided.
Minor tower reinforcement/modifications

Component Description:
Line 2 of attached invoice which represents 25% deposit with order for Tower reinforcement.
Amount:
$47,500.00

Component Description:
Line 2 of the attached invoice for 10% payment for tower reinforcement material and installation due after completion of Phase I.
Amount:
$19,000.00

Component Description:
Line 2 of attached invoice for 15% payment for tower reinforcement material and installation due one week before scheduled helicopter date.
Amount:
$28,500.00

Component Description:
Turris 25% after T/L removed and Installed Phase II for tower reinforcements.
Amount:
$47,500.00

Component Description:
Turris 5% upon completion- for tower reinforcement work.
Amount:
$9,500.00

Component Description:
Line 2 of attached invoice with represents 20% payment required upon mobilization.
Amount:
$38,000.00
Tall Tower (greater than 500')

Component Description:
Line 3 of attached invoice for 25% deposit with order for tall tower rigging.
Amount:
$36,250.00

Component Description:
Line 3 of attached invoice for 10% of tall tower rigging due after completion of Phase I.
Amount:
$14,500.00

Component Description:
25% payment after t/l removed and installed Phase II for tall tower rigging.
Amount:
$36,250.00

Component Description:
Line 3 of attached invoice representing 20% payment for tall tower rigging.
Amount:
$29,000.00

Component Description:
5% payment upon completion for tall tower rigging.
Amount:
$7,250.00

Component Description:
Line 3 of the attached invoice for 15% payment for tall tower rigging due one week before the scheduled helicopter date.
Amount:
$21,750.00
Removal of Interim Facility

Component Description:
Line 1 of the attached invoice for 10% payment for removal of interim facility antenna and transmission line due after completion of Phase I.
Amount:
$24,000.00

Component Description:
Turris 5% upon completion-for removal of interim facility.
Amount:
$12,000.00

Component Description:
Turris 25% after T/L removed and Installed Phase II for removal of interim facility.
Amount:
$60,000.00

Component Description:
Line 1 of the attached invoice for 15% payment for removal of interim facility antenna and transmission line due one week before the scheduled helicopter date.
Amount:
$36,000.00

Component Description:
Line 1 of the attached invoice which represents 25% deposit required with order.
Amount:
$60,000.00

Component Description:
Line 1 of the attached invoice which represents 20% payment required upon mobilization for removal of interim facility.
Amount:
$48,000.00
Weather delays

Component Description:
Charge for weather delay of one day for five workers.
Amount:
$3,875.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $174,150.00 $199,390.00 N/A $31,505.66 N/A
Total for all systems $2,282,854.00 $2,070,559.57 N/A $1,761,954.70 N/A
Outside Professional Services $174,150.00 $199,390.00 $31,505.66
Prepare request for Special Temporary Authorization $2,050.00 $1,535.00 N/A $39.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 Predetermined cost $782.00 N/A
Internal engineering labor $80,000.00 $80,000.00 Internal labor required due to not being able to find contract engineering that could handle all aspects of the repack project. $0.00 N/A
NETA Financial Management $5,000.00 $5,000.00 Half of attached quotation is for WSKA the other half is for WSKG-TV. $2,500.00 N/A
Additional Legal Fees $20,000.00 $20,000.00 Additional legal fees for advice and consultation on FCC compliance and other repack matters for small market public TV station $17,176.00 N/A
Additional Field Engineering Service, 2 Days $10,000.00 $10,000.00 N/A $7,355.16 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $7,170.00 STA for potential interim operation due to repack delays and other issues. $785.50 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 Predetermined cost $1,467.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $3,000.00 Cost of main license and applications for interim facility N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $11,925.00 Actual cost incurred $0.00 Billing for MSW's services is based on a rate and actual time spent. This rate multiplied by the time spent resulted in the numbers billed which was higher than the estimate.
Perform engineering study for new channel assignment and antenna development $7,360.00 $9,010.00 Actual cost. $0.00 Billing for MSW's services is based on a rate and actual time spent. This rate multiplied by the time spent resulted in the numbers billed which was higher than the estimate.
Prepare and or review reimbursement form $2,630.00 $15,000.00 Actual cost already incurred plus additional for additional review. $0.00 Billing for MSW's services is based on a rate and actual time spent. This rate multiplied by the time spent resulted in the numbers billed which was higher than the estimate.
Project management of the transition $28,440.00 $27,000.00 Predetermined cost $550.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 Predetermined cost $851.00 N/A

Components

Actual Information Description File Name
Prepare request for Special Temporary Authorization

Component Description:
Line 1 of attached invoice for legal work in June for Special Temp Authorization.
Amount:
$39.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Lines 3, 6,7,10,11 of attached invoice for application legal fees.
Amount:
$782.00
Internal engineering labor Information not provided.
NETA Financial Management

Component Description:
WSKG -NETA staff support for work related to FCC Spectrum Repack
Amount:
$1,250.00

Component Description:
Staff support work related to FCC Spectrum
Amount:
$1,250.00
Additional Legal Fees

Component Description:
Line 2,4,5 and 9 of the attached invoice for additional legal services provided in the month of June.
Amount:
$555.50

Component Description:
Lines 1,4 and 6 of the attached invoice. Additional legal services for May.
Amount:
$322.50

Component Description:
Repack legal work for the month of December. Work on tower and antenna matters.
Amount:
$656.50

Component Description:
Lines 1,2 and 4-12 of the attached invoice for additional legal services for the month of August 2019.
Amount:
$2,983.50

Component Description:
Legal regarding summarize repack status. Line 2 of the attached invoice.
Amount:
$35.00

Component Description:
Lines 1, 4, 5, 6, 8, 10, 11 and 12 of attached invoice which represents additional attorney fees incurred in February.
Amount:
$2,424.00

Component Description:
Lines 2 and 3 of attached invoice for other legal work for April '19.
Amount:
$78.00

Component Description:
Lines 3, 4 and 5 of the attached invoice for additional legal work for October for WSKG.
Amount:
$555.50

Component Description:
All lines of attached invoice for additional legal fee for September for WSKG.
Amount:
$3,201.50

Component Description:
Lines 4, 8, 10, 11, 12, 13 and 14 of the attached invoice for legal work in July.
Amount:
$3,372.00

Component Description:
Additional legal work for WSKG repack for month of November.
Amount:
$909.00

Component Description:
Legal work on line 2-6 of attached invoice for June.
Amount:
$462.50

Component Description:
Lines 1 and 6 of the attached invoice for additional legal expense for the month of April 2020.
Amount:
$353.50

Component Description:
Additional legal services for the month of May per attached invoice.
Amount:
$2,600.00

Component Description:
Lines 1, 4, 5, 6, 8 and 9 of attached invoice which represents additional legal fees incurred during March for repack work.
Amount:
$1,868.50
Additional Field Engineering Service, 2 Days

Component Description:
Engineering to adjust antenna on top of 1000 ft tower.
Amount:
$2,420.00

Component Description:
Additional engineering including forklift and container usage.
Amount:
$4,935.16

Component Description:
Adjust antenna on top of 1000 ft tower with dielectric field engineer.
Amount:
$2,420.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
Lines 2, 3 and 7 of attached invoice which represents March legal work with regards to Special Temporary Authorization requiest .
Amount:
$148.00

Component Description:
Lines 2,3,7 and 9 of attached invoice for February legal work related to the Special Temporary Authorization Request.
Amount:
$637.50
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Lines 3,5,6,7 and 9 of attached invoice for construction permit work in July 2019.
Amount:
$1,614.00

Component Description:
Attorney fees for construction permit application
Amount:
$117.00

Component Description:
Attorney fees for construction permit application $945.00
Amount:
$945.00

Component Description:
Lines 5,7 and 9 of the attached invoice for construction work performed in January 2020.
Amount:
$288.00

Component Description:
Line 3 of the attached invoice for work on Form 2100 for month of August 2019.
Amount:
$117.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
WSKG -MSW perform engineering section of FCC Form 2100 Construction Permit Application
Amount:
$3,975.00

Component Description:
WSKG -MSW perform engineering section of FCC Form 2100 Construction Permit Application
Amount:
$7,950.00
Perform engineering study for new channel assignment and antenna development

Component Description:
WSKG -MSW perform engineering study for new channel assignment and antenna development
Amount:
$9,010.00
Prepare and or review reimbursement form

Component Description:
WSKG -MSW prepare and/or review reimbursement form
Amount:
$4,505.00
Project management of the transition

Component Description:
Dave Fulton project management services September 2017
Amount:
$250.00

Component Description:
Project management of transition
Amount:
$250.00

Component Description:
Dave Fulton project management services for August 2017
Amount:
$300.00

Component Description:
Project management of transition
Amount:
$300.00
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Line 1 of attached invoice regarding coordination with other stations/broadcasters.
Amount:
$101.00

Component Description:
Line 13 of attached invoice which represent February legal work with regards to transition and timing issues with other stations.
Amount:
$303.00

Component Description:
Line 5 of the attached invoice. Legal work regarding linked station coordination.
Amount:
$50.50

Component Description:
Line 1 of the attached invoice regarding coordination with other stations for June for WSKG.
Amount:
$151.50

Component Description:
Line 4 of attached invoice regarding upstream and downstream dependencies.
Amount:
$245.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $181,740.00 $181,440.00 N/A $91,977.70 N/A
Total for all systems $2,282,854.00 $2,070,559.57 N/A $1,761,954.70 N/A
Other Expenses $181,740.00 $181,440.00 $91,977.70
Quarterly Progress Reports $5,000.00 $5,000.00 Assist with, prepare and file quarterly FCC-required progress reports for station repack. $3,037.50 N/A
8VSB Analyzer Calibration $0.00 $0.00 (previously denied) N/A N/A
Additional Legal Expenses $10,000.00 $10,000.00 Additional legal expenses for consultation and advice and assistance for small market public TV station for required repack work. $9,066.45 N/A
Site Survey $15,300.00 $15,300.00 Quotation by Comark - P3634 WSKG System Design Service Proposal $15,300.00 N/A
Removal-disposal of Analog TX and associated items $0.00 $0.00 This item has been combined to a single quote with other disposal items. Includes disposal of former antenna and line. N/A N/A
MVPD Notification of Channel Change $5,000.00 $5,000.00 Estimate, MSW DTVMedicalMVPDEstimates, page 1 $4,738.75 N/A
Develop and air announcement of upcoming channel change $15,000.00 $15,000.00 Cost of airtime. 1 minute per day per sub-channel, priced per average cost. Details attached as WSKG Airtime Cost. $0.00 N/A
Equipment Storage $10,000.00 $10,000.00 Estimate for temporary storage of antenna and line. N/A N/A
Equipment Delivery and Handling Charges $20,000.00 $20,000.00 Included in per-item costs. Includes delivery of main and interim antenna and line. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $75,000.00 $75,000.00 Quotation by Comark labeled P3633 - includes removal of older analog transmitter that was formerly separate as 30140, removal of replaced DTV transmitter formerly separate as 15005, plus Quotation labeled P2983B_onsite-R5 for combiner disposal $52,695.00 N/A
Local Zoning $7,000.00 $7,000.00 Anticipated cost to obtain required local permits. N/A N/A
DTV Medical Facility Notification $11,550.00 $11,250.00 Estimate, MSW DTVMedicalMVPDEstimates, page 2 $7,140.00 N/A
AM Pattern Disturbance -- Impact study $7,890.00 $7,890.00 Potential study for nearby AM night time directional station N/A N/A

Components

Actual Information Description File Name
Quarterly Progress Reports

Component Description:
Line 8 of the attached invoice for quarterly report work for the month of June.
Amount:
$175.00

Component Description:
Lines 2 and 3 of attached invoice regarding quarterly and other FCC reporting requirements.
Amount:
$221.50

Component Description:
Attorney fees for quarterly progress report
Amount:
$50.50

Component Description:
Attorney fees for quarterly progress report
Amount:
$224.00

Component Description:
Line 1 of attached invoice for quarterly filing legal work in April 2019.
Amount:
$50.50

Component Description:
WSKG -GMP attorney fees for quarterly progress report
Amount:
$50.50

Component Description:
Line 1 of attached invoice. Legal work regarding quarterly report.
Amount:
$50.50

Component Description:
Lines 1 and 3 of attached invoice for legal work regarding quarterly reports for month of January for WSKG.
Amount:
$252.50

Component Description:
Lines 2-5 of attached invoice for legal work regarding the quarterly report for month of April 2020.
Amount:
$909.00

Component Description:
WSKG attorney fees for quarterly progress report due 04/10/2018
Amount:
$50.50

Component Description:
Fee for review of quarterly report.
Amount:
$151.50

Component Description:
Lines 1 and 2 of the attached invoice for legal work regarding quarterly reporting for July for WSKG.
Amount:
$397.00

Component Description:
Lines 1 and 2 of attached invoice for legal work regarding quarterly reporting for October for WSKG.
Amount:
$454.50
8VSB Analyzer Calibration Information not provided.
Additional Legal Expenses

Component Description:
Attorney fees for additional legal expenses $112.00
Amount:
$112.00

Component Description:
Attorney fees for additional legal expenses $212.00
Amount:
$212.00

Component Description:
Lines 2,4,6,8,10-15 of attached invoice for additional legal services for the month of January.
Amount:
$2,038.45

Component Description:
Entire invoice attached for additional legal work for September for WSKG.
Amount:
$5,757.00

Component Description:
Attorney fees for additional legal expenses $947.00
Amount:
$947.00
Site Survey

Component Description:
Site survey/system design
Amount:
$15,300.00
Removal-disposal of Analog TX and associated items Information not provided.
MVPD Notification of Channel Change

Component Description:
DTV MVPD notification
Amount:
$1,843.00

Component Description:
Notification of Cable and Satellite MVPD Providers of new RF Channel and Transport Stream Parameters on Repack Channel.
Amount:
$2,895.75
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
One half deposit for removal/disposal of combiner/transmitter. Lines 8,9 of attached invoice.
Amount:
$26,347.50

Component Description:
Lines 8 and 9 of attached invoice relating to final 5% of removal/disposal costs post-delivery payment.
Amount:
$2,634.75

Component Description:
Lines 8 and 9 of attached invoice relating to 45% of removal/disposal costs pre-delivery payment.
Amount:
$23,712.75
Local Zoning Information not provided.
DTV Medical Facility Notification

Component Description:
Notification of Medical Facilities - Transmitter Medical Facility Notification per proposal.
Amount:
$4,455.00

Component Description:
DTV medical notification
Amount:
$2,685.00
AM Pattern Disturbance -- Impact study Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,282,854.00 $2,070,559.57 $1,761,954.70

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

George Walter , Walter .

Senior Controller


10/08/2020

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

George Walter , Walter .

Senior Controller


10/08/2020

Attachments

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